I just replaced my 650cc Mentor mod with a mastopexy and 800cc Natrelle 20 HP. Why are they so small?!

I know about the 'drop & fluff' and they take time, but they are ridiculously small. I am so disappointed.

Answers from doctors (13)


More About Doctor Michelle Roughton, MD

Published on Dec 05, 2019

So usually it takes at least 100 cc to see a difference when you go up in size. Secondly, when you had the mastopexy/breast lift, some of the skin was removed so that made your total volume a bit smaller. 800 cc is the largest gel implant available on the American market but you can overfill an 800cc saline implant to about 960. You may like this size better. Good luck and I'm sorry this wasn't explained to you preoperatively.

Answered by Michelle Roughton, MD (View Profile)

So usually it takes at least 100 cc to see a difference when you go up in size. Secondly, when you had the mastopexy/breast lift, some of the skin was removed so that made your total volume a bit smaller. 800 cc is the largest gel implant available on the American market but you can overfill an 800cc saline implant to about 960. You may like this size better. Good luck and I'm sorry this wasn't explained to you preoperatively.

Published on Jul 11, 2012


More About Doctor David J. Levens, MD

Published on Apr 03, 2019

Disappointment with size is not uncommon. Avoidance requires detailed pre-op discussions with your surgeon to go over your history, including your prior experience with implants, records of your prior surgery, a detailed exam with measurements and photos, then a plan and review with implant options/choices and a thorough discussion of expectations.

One factor to keep in mind is that switching from saline (were your Mentor 650 cc implants saline?) to silicone for the same volume (ccs) will appear smaller as saline implants of the same ccs appear larger/project more.

Also, moving implants from over the muscle to under the muscle can make them appear smaller.

Finally, if you were used to your 650 cc and had them for a long time, changing to 800 cc may just not have been enough with tissue stretch and your expectations to meet your goals.

Answered by David J. Levens, MD (View Profile)

Disappointment with size is not uncommon. Avoidance requires detailed pre-op discussions with your surgeon to go over your history, including your prior experience with implants, records of your prior surgery, a detailed exam with measurements and photos, then a plan and review with implant options/choices and a thorough discussion of expectations.

One factor to keep in mind is that switching from saline (were your Mentor 650 cc implants saline?) to silicone for the same volume (ccs) will appear smaller as saline implants of the same ccs appear larger/project more.

Also, moving implants from over the muscle to under the muscle can make them appear smaller.

Finally, if you were used to your 650 cc and had them for a long time, changing to 800 cc may just not have been enough with tissue stretch and your expectations to meet your goals.

Published on Jul 11, 2012


Barry J. Kaplan, D.O.

Published on Jun 03, 2016

A mayo will decrease cup only about 1/4, so a jump to 800 cc's should more than balance that unless you did not receive 800 cc implants.

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Answered by Barry J. Kaplan, D.O.

A mayo will decrease cup only about 1/4, so a jump to 800 cc's should more than balance that unless you did not receive 800 cc implants.

Published on Jul 11, 2012


ELLIOT B. DUBOYS, MD, FACS

Published on Jun 02, 2016

Can't answer. They should be bigger. I would ask your surgeon this question rather than ask it to a forum like this. Best of luck.

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Answered by ELLIOT B. DUBOYS, MD, FACS

Can't answer. They should be bigger. I would ask your surgeon this question rather than ask it to a forum like this. Best of luck.

Published on Jul 11, 2012


Kenneth L. Stein M.D. FACS

Published on Mar 23, 2016

It is best to discuss that with your surgeon, as he knows your body shape, size and breast tissue. With an 800cc Natrelle silicone style, you should have a nice shape. Were you clear with your surgeon on the expectations you had? Did you show him a picture of what you wanted? Sometimes your breast tissue cannot take anything larger.

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Answered by Kenneth L. Stein M.D. FACS

It is best to discuss that with your surgeon, as he knows your body shape, size and breast tissue. With an 800cc Natrelle silicone style, you should have a nice shape. Were you clear with your surgeon on the expectations you had? Did you show him a picture of what you wanted? Sometimes your breast tissue cannot take anything larger.

Published on Jul 11, 2012


Aristocrat Plastic Surgery

Published on Jan 05, 2016

Please be patient until three months post-op and visit your plastic surgeon.

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Answered by Aristocrat Plastic Surgery

Please be patient until three months post-op and visit your plastic surgeon.

Published on Jul 11, 2012


Kristi Sumpter, D.O., F.A.C.O.S.

Published on Jan 04, 2016

I don't work with Natrelle implants regularly. Traditionally, a mastopexy may reduce breast cup size by half a cup, but I would not expect it to make the difference you are describing.

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Answered by Kristi Sumpter, D.O., F.A.C.O.S.

I don't work with Natrelle implants regularly. Traditionally, a mastopexy may reduce breast cup size by half a cup, but I would not expect it to make the difference you are describing.

Published on Jul 11, 2012


More About Doctor Tom Pousti, M.D.

Published on Jan 01, 2016

If you recently had your surgery, I would recommend that you allow for things to completely heal and settle before considering revision surgery. I ask my patients to discuss their goals with me by showing me photos (not by cup size or cc #), as this is more accurate and allows me to better achieve their goals.

Best wishes for an outcome you will be pleased with .

Answered by Tom Pousti, M.D. (View Profile)

If you recently had your surgery, I would recommend that you allow for things to completely heal and settle before considering revision surgery. I ask my patients to discuss their goals with me by showing me photos (not by cup size or cc #), as this is more accurate and allows me to better achieve their goals.

Best wishes for an outcome you will be pleased with .

Published on Jul 11, 2012


Larry Leverett, MD, FACS

Published on Dec 29, 2015

Each bra cup size is approximately 200 cc's, so you have approximately 3 cup sizes total from your breast implants, in addition to your own breast tissue. However, the bottom heavy breast tissue is likely removed, which removes a minimal amount of volume.

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Answered by Larry Leverett, MD, FACS

Each bra cup size is approximately 200 cc's, so you have approximately 3 cup sizes total from your breast implants, in addition to your own breast tissue. However, the bottom heavy breast tissue is likely removed, which removes a minimal amount of volume.

Published on Jul 11, 2012


Those are the largest implants made.

Answered by Steven Teitelbaum, M.D.. F.A.C.S (View Profile)

Those are the largest implants made.

Published on Jul 11, 2012


Jed Horowitz, M.D., F.A.C.S.

Published on Dec 26, 2015

Volume is volume. The shape is likely changed, but if your doctor did what they said, then the volume in your bra should be MORE than before. The lift and profile will not change the volume.

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Answered by Jed Horowitz, M.D., F.A.C.S.

Volume is volume. The shape is likely changed, but if your doctor did what they said, then the volume in your bra should be MORE than before. The lift and profile will not change the volume.

Published on Jul 11, 2012


Charles Slack M.D.

Published on Dec 25, 2015

One thing that I have learned over the years is that when a woman is late breasted it takes a much bigger implant to create a visible difference. For instance, a 350cc implant in a woman starting off as an A or B will typically create a nice C-cup that looks significantly bigger. A woman who is already a D-cup won't see near the degree of change in her breasts with the same 350 cc implant. Think of it this way: if I add a cup of water to another cup of water the volume has doubled in size. This is visibly obvious. On the other hand, if I add the same cup of water to a big bucket of water it won't look like the volume changed very much even though I added the same amount of water. In your case, you started out with large implants and adding an additional 150cc's of volume by moving to the 800cc high profile implant did not produce a dramatic change in the size relative to your starting point. You have the largest high profile implant available, so there is no room to change to a larger implant unless you consider a custom made implant. I have never used one in my practice and am not sure how one goes about getting one.

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Answered by Charles Slack M.D.

One thing that I have learned over the years is that when a woman is late breasted it takes a much bigger implant to create a visible difference. For instance, a 350cc implant in a woman starting off as an A or B will typically create a nice C-cup that looks significantly bigger. A woman who is already a D-cup won't see near the degree of change in her breasts with the same 350 cc implant. Think of it this way: if I add a cup of water to another cup of water the volume has doubled in size. This is visibly obvious. On the other hand, if I add the same cup of water to a big bucket of water it won't look like the volume changed very much even though I added the same amount of water. In your case, you started out with large implants and adding an additional 150cc's of volume by moving to the 800cc high profile implant did not produce a dramatic change in the size relative to your starting point. You have the largest high profile implant available, so there is no room to change to a larger implant unless you consider a custom made implant. I have never used one in my practice and am not sure how one goes about getting one.

Published on Jul 11, 2012


David C. Yao MD, FACS

Published on Dec 25, 2015

Thank you for sharing. Sorry to hear about your feelings on this. Be patient and speak with your PS. 800cc is a significant size in the US. Best wishes!

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Answered by David C. Yao MD, FACS

Thank you for sharing. Sorry to hear about your feelings on this. Be patient and speak with your PS. 800cc is a significant size in the US. Best wishes!

Published on Jul 11, 2012


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